Active NPI
Jeanne Watson
- Professional Counselor
- Hillsville, VA
National Provider Identifier
1275594582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701000999
- Legal business name
- JEANNE WATSON
- Doing business as
- Appalachian Psychological Trauma Center
- Practice address
- 408 N Main St
Suite a
Hillsville, VA 24343-1435 - Phone
- (276) 730-0548
- Fax
- (276) 730-0568
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne Watson, PH.D.
- Title
- Licensed Professional Counselor
- Phone
- (276) 730-0548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701000999 | VA | Primary |
Addresses
Primary practice location
408 N Main St
Suite a
Hillsville, VA 24343-1435
Mailing address
PO Box 100
Hillsville, VA 24343-0100
Phone (276) 730-0548
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087093M | Other | VA | SOUTHERN HEALTH |
| 201692 | Other | VALUE OPTIONS | |
| 437317 | Other | VA | ANTHEM BC/BS |
Other names 1
- Appalachian Psychological Trauma Center
National Provider Directory
National Provider DirectoryLocations
408 N Main St
#A
Hillsville, VA 24343
Phone (276) 730-0548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275594582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "HILLSVILLE",
"state": "VA",
"postal_code": "243430100",
"telephone_number": "276-730-0548",
"fax_number": "276-730-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N MAIN ST",
"address_2": "SUITE A",
"city": "HILLSVILLE",
"state": "VA",
"postal_code": "243431435",
"telephone_number": "276-730-0548",
"fax_number": "276-730-0568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANNE WATSON",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "JEANNE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "276-730-0548",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701000999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "087093M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "201692",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "437317",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Appalachian Psychological Trauma Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hillsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.